여성간호학실습 case

본 내용은 " 여성간호학실습 case " 의 원문 자료에서 일부 인용된 것입니다. 2023.01.19

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• 1. preterm-Breech presentartion-PROM-C/S

  출산은 인간생활의 한 부분이며 우리의 일생 중에서 인간의 생명에 대해서 가장 경외심을 갖도록 하는 시기이다. 그리고 출산은 가족 구성원 전체가 함께 경험하는 가족의 일이다. 조기양막파수(PROM)는 임신주수에 상관없이 진통전에 양막이 파수되어 양수가 밖으로 흐르는 경우를 말하며, 만삭전 양막 파수는 임신전 37주 전의 양막의 파수로 정의한다. 제왕절개술이란 임신부의 배를 절개한 후 자궁을 일부 절개하고 절개 부위를 통하여 태아를 꺼내는 수술을 말한다. 제왕절개 분만율은 한 때 제왕절개 분만 산모에서 자연 분만을 많이 시도하면서 제왕절개 분만율이 감소하였으나, 최근에는 여러 가지 이유로 다시 증가하는 추세이다.

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• 1. preterm-Breech presentartion-PROM-C/S

  Preterm birth, breech presentation, premature rupture of membranes (PROM), and cesarean section (C/S) are all complex medical conditions that require careful consideration and management. In this case, the combination of these factors presents a significant challenge for healthcare providers. Preterm birth, defined as delivery before 37 weeks of gestation, is associated with an increased risk of various complications for the infant, including respiratory distress, intraventricular hemorrhage, necrotizing enterocolitis, and long-term developmental issues. Breech presentation, where the baby's buttocks or feet are positioned to be delivered first, also increases the risk of complications during delivery, such as head entrapment and birth injuries. PROM, the rupture of the amniotic membranes before the onset of labor, can lead to an increased risk of infection and other complications for both the mother and the infant. In this scenario, the combination of preterm birth, breech presentation, and PROM further complicates the management of the pregnancy and delivery. The decision to perform a cesarean section in this case may be warranted to minimize the risks to the mother and the infant. Cesarean delivery can help avoid the potential complications associated with a vaginal breech delivery, particularly in a preterm infant. However, it is important to carefully weigh the risks and benefits of this approach, as cesarean sections are also associated with their own set of potential complications, such as increased risk of bleeding, infection, and future pregnancy complications. In summary, the combination of preterm birth, breech presentation, PROM, and the potential need for a cesarean section in this case requires a comprehensive and multidisciplinary approach to ensure the best possible outcome for both the mother and the infant. Healthcare providers should carefully evaluate the specific circumstances, consult with specialists as needed, and develop a personalized plan of care that addresses the unique challenges presented by this complex medical scenario.